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Upplevd livskvalitet hos njurtransplanterade patienter
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund:Njurtransplantation är den lämpligaste behandlingen vid kronisk njursvikt. Efter njurtransplantationen påverkas patienternas livskvalitet.

 

Syftet:Att undersöka upplevd livskvalitet hos patienter som genomgått njurtransplantation, vilka faktorer som påverkade livskvaliteten samt om det fanns någon skillnad i upplevd livskvalitet hos njurtransplanterade patienter jämfört med normalbefolkningen och dialyspatienter.

 

Metod:Litteraturöversikt där tio artiklar från databasen PubMed valdes ut, dessa artiklar kvalitetsgranskades och analyserades. Hälso-relaterad livskvalitet användes som teoretisk utgångspunkt.

 

Resultat:Studiens resultat kategoriserades i fysisk livskvalitet, psykisk livskvalitet, social livskvalitet samt läkemedlens påverkan på livskvaliteten. De njurtransplanterade rapporterade en förbättrad livskvalitet jämfört med innan transplantationen. Dock uppnådde de inte samma livskvalitet som normalbefolkningen då faktorer i samtliga kategorier påverkade de njurtransplanterades livskvalitet negativt. De njurtransplanterade upplevde sämre muskelstyrka, komplikationer efter transplantationen, högre grad av psykisk stress samt ett ökat behov av emotionellt stöd. De upplevde även biverkningar från den immunsuppressiva medicineringen vilket sänkte livskvaliteten. Njurtransplanterade patienter upplevde dock att deras livskvalitet förbättrades i hög grad jämfört med innan transplantation då de inte längre var i behov av dialys.

 

Slutsats:Trots att livskvaliteten inte uppnår normalbefolkningens upplevda livskvalitet ökar de njuransplanterades livskvalitet tillräckligt mycket för att en njurtransplantation ska förbättra livet för en patient med kronisk njursvikt.

Abstract [en]

Background: Kidney transplantation are the most suitable treatment for chronic kidney failure. The kidney transplantation affects the patients’ quality of life.

 

Aim:To investigate experienced quality of life amongst patients that has undergone kidney transplantation, which factors that affected quality of life as well as if there were any difference in experienced quality of life among kidney transplanted patients compared to the general public and dialysis patients.

 

Method: A literature review where ten articles from the database PubMed were selected, these articles were examined and analyzed. Health-related quality of life were used as a theoretical basis.

 

Results:The results of this study were categorized in physical quality of life, mental quality of life, social quality of life and pharmaceutical effects on quality of life. The kidney transplanted patients reported an improved quality of life compared to before the transplantation. However, the kidney transplanted patients did not achieve the same quality of life as the general public because of various factors that affected the quality of life negatively. The kidney transplanted patients experienced reduced muscle strength, complications related to the transplantation, a higher level of psychological stress and an increased need of emotional support. They did also experience side effects from the immunosuppressive treatment which affected the quality of life negatively. Kidney transplanted patients did however experience that their life quality improved to a great degree compared to before the transplantation, because they were no longer in a need of dialysis.

 

Conclusion:Although the quality of life doesn’t reach the general public's perceived quality of life, the kidney transplanted patients experience an improved life quality. A kidney transplantation therefore improves the life of a patient with chronic kidney failure. 

Place, publisher, year, edition, pages
2019. , p. 35
Keywords [en]
Kidney transplantation, health-related quality of life, change
Keywords [sv]
Njurtransplantation, hälsorelaterad livskvalitet, förändring
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-397696OAI: oai:DiVA.org:uu-397696DiVA, id: diva2:1372390
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2019-11-25 Created: 2019-11-22 Last updated: 2019-11-25Bibliographically approved

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